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Tamás Zonda Magyar Szuicidium-Prevenciós Társaság, Washington,D.C., USA

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Károly Bozsonyi Társadalom- és Kommunikációtudományi Intézet, Kommunikáció Tanszék, Károli Gáspár Református Egyetem, Budapest, Hungary

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Zoltán Kmetty Eötvös Loránd Tudományegyetem, Társadalomtudományi Kar, Szociológiai Intézet, Budapest, Hungary

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A szerzők az öngyilkosságok és az antidepresszív szerek forgalma közötti összefüggés problémáit vizsgálták az ökológiai vizsgálatok irodalmára koncentrálva. Több gyakorlati és elméleti problémát találtak, amelyek megkérdőjelezik az ún. antidepresszív teóriát, amely szerint egy adott populációban az antidepresszívumok (AD-k) emelkedő használata a csökkenő öngyilkossági ráták meghatározó oka lenne.

1. Az ökológiai vizsgálatokban nem ismert a populációban öngyilkossá vált depressziós személyeknél az antidepresszívum használatának ténye, ami könnyen az ún. ökológiai tévkövetkeztetés oka lehet, valótlan viszonyt jelezve.

2. Alapprobléma az ökológiai vizsgálatoknál, hogy a korreláció csak a két vizsgálandó jelenség közötti együttjárást jelzi, kauzalitást nem. A jelen esetben a helyzetet tovább bonyolítja az a tény is, hogy az AD-k nem az öngyilkosságra hatnak direkt módon, hanem egy pszichiátriai betegségre, amelynek egyik szövődménye lehet az öngyilkosság. Az antidepresszívumok tehát áttételes (indirekt), preventív hatást igyekeznek kifejteni nem ismert számú depressziós betegek ismeretlen hányadánál, nem kiszámítható hatásban és mértékben.

3. A szerzők nem találtak adatot az irodalomban a depressziós és nem-depressziós betegek által használt AD-mennyiség megoszlásáról. Egy hivatalos hazai adatbázis vizsgálatára volt módjuk. Az OEP 4 éves (2007–2010) ambuláns AD-forgalmában szétválogatták az egyes BNO kódokkal jelzett betegek csoportjait: F00-F03; F063; F25; F30-39; F40-48; F50 és Egyéb kategóriák szerint. Az analízis során kiderült, hogy az AD-k 53,93%-át használták csak a valóban magas öngyilkossági rizikót magukban hordozó (F25 és F 30-39) betegek, míg az AD-k közel másik felét (46,07%) minden más (magas rizikót nem hordozó) pszichiátriai vagy nem pszichiátriai kódot kapott betegek. Az AD-k gyógyszertári forgalma tehát nem lehet indikátora a valóban kezelt depressziós betegeknek, illetve kezeléseik számának.

4. A szerzők több olyan ökológiai vizsgálatot találtak, amelyek közül több nem tudta bizonyítani az AD-k használata és az öngyilkossági ráták közötti inverz kapcsolatot, vagy nem konzekvens, vegyes eredmények jelentkeztek.

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Senior editors

Editor(s)-in-Chief: Adrienne STAUDER

Editor(s): Edit CZEGLÉDI

Editorial Board

  • László Csaba DÉGI (Babeş-Bolyai Tudományegyetem, Kolozsvár, Románia)
  • Zsolt DEMETROVICS (Eötvös Loránd University, Budapest)
  • Barna KONKOLŸ THEGE (Waypoint Centre for Mental Health Care, Penetanguishene, Canada)
  • Karolina KÓSA (University of Debrecen, Debrecen)
  • Márta NOVÁK (University of Toronto, University Health Network, Toronto, Canada)
  • Bettina PIKÓ (University of Szeged, Szeged)
  • József RÁCZ (Semmelweis University, Budapest; Eötvös University, Budapest)
  • István TIRINGER (University of Pécs, Pécs)

Editorial Correspondence: Czeglédi, Edit
Institute of Behavioural Sciences
Semmelweis University
Nagyvárad tér 4.
H-1089 Budapest, Hungary
Phone: (36 1) 210 2930 ext. 56151 ---- Fax: (36 1) 210 2955
E-mail: mentalhigiene.pszichoszomatika@gmail.com

Indexing and Abstracting Services:

  • PsychInfo
  • SCOPUS
  • CABELLS Journalytics

 

2023  
Scopus  
CiteScore 0.6
CiteScore rank Q4 (Psychiatry and Mental Health)
SNIP 0.149
Scimago  
SJR index 0.141
SJR Q rank Q4

Mentálhigiéné és Pszichoszomatika
Publication Model Online Only Hybrid
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Further Discounts Editorial Board / Advisory Board members: 50%
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Mentálhigiéné és Pszichoszomatika
Language English
Hungarian
Size B5
Year of
Foundation
2000
Volumes
per Year
1
Issues
per Year
4
Founder Végeken Egészséglélektani Alapítvány
Founder's
Address
H-1089 Budapest, Hungary Nagyvárad tér 4.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 1419-8126 (Print)
ISSN 1786-3759 (Online)

Monthly Content Usage

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Aug 2024 13 0 0
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